Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pamela Mack-rainey (NPI 1841627403)

Field	Value
Entity Type	Individual
Organization	Pamela Mack-rainey
Address	1533 William Ln
City	Swansea
State	IL
ZIP	62226
Taxonomy	Occupational Therapist
NPI Enumerated	September 27, 2013

Payer Source	Total Paid
Medicare	$137.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	5,900	$20	$106.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	700	$20	$14.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	500	$20	$8K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	170	$20	$3.2K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	40	$80	$3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Pamela Mack-rainey — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	903	3,320	360	$30	$14.2K
97110	1,992	4,100	480	$20	$12.9K
97112	2,361	3,410	290	$20	$9.5K
97535	1	510	80	$20	$6.1K
97166	37	200	20	$70	$2.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pamela Mack-rainey, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Vein Restoration Nj LLC	NJ	Vascular Surgery Physician	$0	$9.6M
Tamara Liburd	TX	Occupational Therapist	$633.1K	$0
Traci Mccloskey	TX	Physical Therapist	$302.1K	$0
Annette Romero	FL	Physical Therapist	$213.7K	$0
Adrianna D'aurora	MA	Occupational Therapist	$210.1K	$0
Powerback Rehabilitation LLC	NH	Rehabilitation Clinic/Center	$0	$156.3K
Maria Malaver-reyes	GA	Physical Therapist	$155.6K	$0
Malgorzata Kaczmarski	NJ	Occupational Therapist	$135.8K	$0
Nancy Sulak	TX	Physical Therapist	$127K	$0
Erika Brassow	TX	Geriatric Physical Therapist	$124.3K	$0

Nearby Providers

Other providers in the same ZIP code as Pamela Mack-rainey, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mission Care Of Illinois LLC	IL	Land Ambulance	$1.8M	$12.7M
Gateway Foundation, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.2M
Christian Social Services Of Illinois	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3M
Steve Musick	IL	Dermatology Physician	$1.3M	$0
Eric Mann	IL	Ophthalmology Physician	$950.6K	$0
Enrique Peralta	IL	Ophthalmology Physician	$672.2K	$196.3K
Eye Surgery Center, LLC	IL	Ambulatory Surgical Clinic/Center	$807.6K	$80
Ahsan Usman	IL	Hospitalist Physician	$306.9K	$417.5K
Louba Laurie	IL	Diagnostic Radiology Physician	$184.7K	$453.6K
Michael Friedman	IL	Diagnostic Radiology Physician	$145.5K	$436.8K

Pamela Mack-rainey — Billing Profile & Reimbursement Data

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Pamela Mack-rainey — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References